Presentation
There is a previous report of an MCA aneurysm presenting as uncinate seizures which improved following surgical ablation. [4] To the best of our knowledge this is the first case of an ICA aneurysm presenting as uncinate seizures. [jpgmonline.com]
Cho, Kim, Noh, Kim, Lee, and Kim: Nocturnal Frontal Lobe Epilepsy Presenting as Obstructive Type Sleep Apnea Abstract A 20-year-old man presented with sleep apnea. Polysomnography was performed and it revealed nine apneas and two hypopneas. [j-epilepsy.org]
Pneumatised uncinate process was seen in 1 patient (1.16%) while retroverted uncinate was present in 2 patients (2.32%) in our study while it was reported to be 2% and 16% respectively, by Gouripur K et al. [financial-dictionary.thefreedictionary.com]
We presented a patient who was diagnosed to have temporal epilepsy, which later turned out to be an insulinoma in MEN-1. A 23-yr-old male presented with an auditory hallucination of a voice asking him to kill his mother. [endocrine-abstracts.org]
Case 1: a 43-year-old male who presented paroxysmal episodes in which he perceived a bitter smell, with dysphoria, linked to the presence of a left-side parasellar meningioma. [neurologia.com]
Entire Body System
- Epilepsy
Disorders, Partial Seizure Epilepsies, Abdominal Epilepsies, Amygdalo-Hippocampal Epilepsies, Benign Occipital Epilepsies, Digestive Epilepsies, Focal Epilepsies, Gelastic Epilepsies, Localization-Related Epilepsies, Occipital Lobe Epilepsies, Rhinencephalic [decs.bvs.br]
Its introduction into medicine has been attributed to the Greek physician Pelops, the master of the great Galen of Pergamum (129 c. 216 AD) … Dictionary of Hallucinations epilepsy and hallucinations — The term epilepsy comes from the Greek verb epilambanein [medicine.academic.ru]
[…] convulsions(familial)) 양성 유아의 간대성 근경련성 간질(Benign myoclonic epilepsy in infancy) 소년기 결여간질 [신속 소간질](Childhood absence epilepsy[Pyknolepsy]) 각성시 대발작을 동반한 간질(Epilepsy with gand mal seizures on awakening) 연소성 간대성 근경련성 간질(충동성 소발작) (Juvenile myoclonic epilepsy [dic.impact.pe.kr]
KÄYTETTÄVÄ TERMI Epilepsy, Temporal Lobe ASSOSIATIIVISET KÄSITTEET OHJAUSTERMIT Epilepsies, Lateral Temporal Epilepsies, Uncinate Epilepsy, Benign Psychomotor, Childhood Epilepsy, Lateral Temporal Epilepsy, Uncinate Lateral Temporal Epilepsies Lateral [finto.fi]
- Falling
Our predecessors referred to it as the "falling sickness" or the "falling evil." [accessmedicine.mhmedical.com]
[…] involve a bilateral, symmetrical surge of neuronal activity which leads to both a ‘tonic’ seizure phase (principally involving rigidity, crying out, tongue biting, apnea, cyanosis and an increase in blood rate) and a ‘clonic’ phase in which the patient falls [wellcomecollection.org]
- Pallor
[…] expanded access programs and reported in more than # patient included rash, flushing, urticaria, pyrexia, cough, tachycardia, decreased oxygen saturation, vomiting, tachypnea, agitation, increased blood pressure, cyanosis, hypertension, irritability, pallor [lv.glosbe.com]
[…] be classified by symptom type, as follows: Sensory – auditory, gustatory, hot-cold sensations, olfactory, somatosensory, vestibular, visual Autonomic – Heart rate Change (asytole, bradycardia, palpitations, tachycardia), flushing, gastrorintestinal, pallor [emedicine.medscape.com]
Ictal Fear and Anxiety Anxiety and fear also represent the most common form of ictal affect in patients with epilepsy. 45 It can be accompanied by a rising epigastric sensation, palpitations, diaphoresis, mydriasis, and pallor. 51 An early study reported [primarypsychiatry.com]
- Nightmare
This coincides with other clinical observations of ischemic episodes while awakening from nightmares (23). [priory.com]
Gastrointestinal
- Nausea
[…] movements (such as picking at clothing) Other sensory symptoms may include the following sensations that start in one area and spread: Numbness Tingling A feeling that the flesh is crawling Autonomic symptoms may include the following: Abdominal pain or nausea [webmd.com]
[…] failure in children, teratogenic (NTDs, lower IQ) Mechanism: Enhances GABA-A mediated response, inhibits sodium current, inhibits glutamate receptors, inhibits T-type calcium channels Indication: Generalized absence Adverse effects: Abdominal pain, nausea [quizlet.com]
Symptoms include nausea, pain, hunger, warmth, and "epigastric rising" sensations, and may be associated with piloerection (ie, gooseflesh). [emedicine.medscape.com]
She has had fevers/chills and nausea/vomiting but no change in her bowel or bladder function. She denies any unintentional weight loss. No significant past medical history, and she's only on oral contraceptive pills. [hakeem-sy.com]
[…] blood pressure, cyanosis, hypertension, irritability, pallor, pruritus, retching, chills, tremor, hypotension, heart rate increased, bronchospasm, erythema, face edema, feeling hot, headache, hyperhidrosis, lacrimation increased, livedo reticularis, nausea [lv.glosbe.com]
Jaw & Teeth
- Dysgeusia
Dysgeusia can be a direct or indirect effect of malign conditions. Hypergeusia and parageusia can occur in psychoses and in the conversion disorder (32). [arquivosdeorl.org.br]
Rossetti AO, Mortati KA, Black PM, Bromfield EB: Simple partial seizures with hemisensory phenomena and dysgeusia: an insular pattern. Epilepsia 2005;46:590–591. [karger.com]
Skin
- Flushing
[…] svarīgi nosodīt nesenos notikumus valstīs, kuras atrodas tālu, bet kurās ir izveidojusies kristiešu kopiena. en IARs in patients treated with Myozyme in clinical studies and expanded access programs and reported in more than # patient included rash, flushing [lv.glosbe.com]
[…] picking at clothing) Other sensory symptoms may include the following sensations that start in one area and spread: Numbness Tingling A feeling that the flesh is crawling Autonomic symptoms may include the following: Abdominal pain or nausea Sweating, flushing [webmd.com]
Ictal orgasms have been reported, although rarely, in association with seizures arising from various cerebral locations. [15] Rare autonomic symptoms include perspiration, lacrimation, ictal enuresis, or flushing. [emedicine.medscape.com]
- Erythema
[…] urticaria, pyrexia, cough, tachycardia, decreased oxygen saturation, vomiting, tachypnea, agitation, increased blood pressure, cyanosis, hypertension, irritability, pallor, pruritus, retching, chills, tremor, hypotension, heart rate increased, bronchospasm, erythema [lv.glosbe.com]
Erythema multiform. *** حمامى متعددة الأشكال c. Hairy leukoplakia. طلوان مشعر d. Rapidly progressing periodontitis. e. Kaposi’s sarcoma. [worlddentalnetwork.com]
Psychiatrical
- Suggestibility
—Erica Tricarico Suggested Reading Keller SS, Glenn RG, Weber B, et al. Preoperative automated fibre quantification predicts postoperative seizure outcome in temporal lobe epilepsy. Brain. 2016 Nov 15 [Epub ahead of print]. [mdedge.com]
Also, evidence using FA to assess specific white matter fiber bundle suggests changes due to damage, particularly in UF. [auctoresonline.org]
Olfactory aura is rare and suggests origin of seizure in the uncus/amygdyla. [jpgmonline.com]
Pathological changes in the dorsal fornix were beyond the margins of resection, and contralateral PWMB parahippocampal changes may suggest a bi-temporal disorder in some patients. [kclpure.kcl.ac.uk]
- Fear
It is likely that ictal fear arises from seizures originating or propagating to the amygdala. [primarypsychiatry.com]
The person's response to the event must involve intense fear, helplessness, or horror (or in children, the response must involve disorganized or agitated behavior... 33 ページ - Delis, DC, Kramer, JH, Kaplan, E., and Ober, BA 1987. [books.google.com]
The most feared event that takes place is the transtentorial, or uncal herniation which results in respiratory arrest since the medullary structures are compromised. [diki.pl]
Less common automatisms associated with temporal lobe seizures include vocalizations, ictal speech, and affective behaviours (out of context fear). [hindawi.com]
Fear is usual, but SPS can elicit happiness, sexual arousal, anger, and similar responses. Cognitive responses include feelings of depersonalization, unreality, forced thinking, or feelings that may defy description. [emedicine.medscape.com]
- Olfactory Hallucination
Olfactory hallucination are caused by temporal seizures (uncinate fits) but may also be caused by schizophrenia or depression can be caused by temporal lobe hamartoma, mesial temporal sclerosis or a glioma mesial temporal sclerosis is associated with [prod.wiki.cns.org]
It is used to denote a type of *aura manifesting itself in the form of an * olfactory hallucination or * parosmia (i.e. an olfactory *illusion) … Dictionary of Hallucinations [medicine.academic.ru]
Olfactory hallucinations and auras often accompany temporal lobe seizures ( Chen et al., 2003 ; West & Doty, 1995 ). [neurocritic.blogspot.com]
Environmental and Industrial causes The olfactory hallucinations are associated with aural gustatory hallucinations. [meta-religion.com]
hallucinations) A utomatisms 33% w/ MTS 66% w/ hx GTC If frontal (SMA) -> bicycling movements Focal spikes, diffuse rhythmic activity Adolescents Adults Carbamezepine Dilantin Valproic acid GTC: GENERALIZED TONIC CLONIC / GRAND MAL +/- prodrome Tonic [learnneurosurgery.com]
- Gustatory Hallucination
Seizures starting in the uncus may be preceded by olfactory or gustatory hallucinations (uncinate fits 3 ), hence the antiquated term rhinencephalon for its developmental origin. [radiopaedia.org]
Environmental and Industrial causes The olfactory hallucinations are associated with aural gustatory hallucinations. [meta-religion.com]
Frequently, the olfactory hallucinations are associated with aural gustatory hallucinations. The patient may describe elementary tastes like sweet, salty, bitter, or odd flavors. [priory.com]
<ul><li>Gustatory hallucinations. </li></ul><ul><ul><li>in temporal lobe disease. </li></ul></ul><ul><ul><li>salivation and sensation of thirst is present. [slideshare.net]
Gustatory and olfactory hallucinations are also relatively specific for TLE, as are elementary auditory hallucinations [21]. Although auras often have localizing value, they do not often have lateralizing significance. [hindawi.com]
- Hunger
Symptoms include nausea, pain, hunger, warmth, and "epigastric rising" sensations, and may be associated with piloerection (ie, gooseflesh). [emedicine.medscape.com]
The temporal lobe is the area of the brain that processes memories and sounds, interprets vision, produces speech, understands language, controls some unconscious/automatic responses such as hunger, thirst, fight-or-flight, emotions, and sexual arousal [my.clevelandclinic.org]
Neurologic
- Aura
In dentistry, the adaptation of any dental restoration, e.g., of an inla … Medical dictionary olfactory aura — The term olfactory aura comes from the Latin words ol(e)facere (to smell) and aura (breeze, smell). [medicine.academic.ru]
Auras often provide valuable localization information but not useful lateralization features [104]. Orgasmic auras represent a useful exception. [hindawi.com]
Just before a seizure (the preictal stage) the patient may experience an abnormal somatic, visceral, or psychic sensation called an aura. The presence or absence of the aura and its nature (if it is present) should be noted and recorded. [medical-dictionary.thefreedictionary.com]
These seizures tend to have an aura before they occur. An aura is a “warning sign” that happens before this type of seizure occurs. [my.clevelandclinic.org]
- Parosmia
It is used to denote a type of *aura manifesting itself in the form of an * olfactory hallucination or * parosmia (i.e. an olfactory *illusion) … Dictionary of Hallucinations [medicine.academic.ru]
In temporal lobe epilepsy, amygdalar and hippocampal lesions cause epigastric discomfort and uncinate fits such as autonomic seizures, psychological seizures, and parosmia, while lateral temporal lesions cause auditory hallucinations and language disturbance [f1000research.com]
Parosmias are common. Amnesia in the first 24 hours is associated with a permanent anosmia in more than 90% of cases. When smell is partially preserved, a reduction in the distinction of smells has been noticed (17). [arquivosdeorl.org.br]
- Screaming
Sleep myoclonus: Occur at all sleeping stage, asynchronous + bilateral symmetric, Occur at body trunk/proximal muscle/distal muscle Night terror disorder/noctambulant: Screaming/wailing/excitement/fast pulse, one to 10 minutes, suddenly stand-up, walking [tokushukai.or.jp]
Common Less common Complex postures Late, less frequent, less prominent Frequent, prominent, and early Hypermotor Rare Common Bipedal automatisms Rare Characteristic Somatosensory Sx Rare Common Vocalization Speech (nondominant) Loud, nonspeech (grunt, scream [hindawi.com]
Ictal vocalizations are mostly seen during frontal lobe seizures, especially from the orbitofrontal and parasagittal regions [ 45 ], but may also present as a loud scream at the beginning of generalized seizures. [karger.com]
- Cognitive Disorder
nonorganic or unspecified) (F45.-) F06.7 경도인식 장애(Mild cognitive disorder) 장애는 기억의 손상, 학습곤란에 의해서 특징이 나타나고 장기 직무에 대한 집중능력을 감소시킨다. [dic.impact.pe.kr]
The cognitive impact of antiepileptic drugs. Ther Adv Neurol Disord 2011;4:385-407. 33. Brandl U, Kurlemann G, Neubauer B, Rettig K, Schäuble B, Schreiner A. [neurologyindia.com]
- Perseveration
M Acute hypoglycemic encephalopathy Consciousness disturbance Yes NCSE/CP + GCSE Liver dysfunction Renal dysfunction Recovery 38 34 M Acute lymphocytic leukemia, post-irradiation basal ganglia calcification Alteration of consciousness, irritability, perseveration [f1000research.com]
Workup
[…] lesion for neoplastic signal Electroencephalography (EEG); indicated in all patients with suspected temporal lobe epilepsy Magnetoencephalography (MEG); mainly used for coregistration with MRI to give magnetic source imaging in 3-dimensional space See Workup [emedicine.medscape.com]
Kim DW, Lee SK, Yun CH, et al: Parietal lobe epilepsy: the semiology, yield of diagnostic workup, and surgical outcome. Epilepsia 2004;45:641–649. [karger.com]
Treatment
Elevation of homocysteine and excitatory amino acid neurotransmitters in the CSF of children who receive methotrexate for the treatment of cancer. [pedneur.com]
Chemotherapy treatment for epilepsy, treatment from 2nd seizure is the basic. Chemotherapy effect judgement and period of duration. Selective drug for the case where mental symptom exists. [tokushukai.or.jp]
This pocket reference guide covers the diagnosis and treatment of common neurological disorders, neurosurgery topics including brain tumors, and a comprehensive section on neuropharmacology. [books.google.de]
Learn about the cause of these conditions, the pathogenesis, medical diagnosis and treatment, and most importantly, the special implications for the therapist. [books.google.ro]
Article Effect of antidepressant switching between nortriptyline and escitalopram after a failed first antidepressant treatment among patients with major depressive disorder Ole Köhler-Forsberg, Erik Roj Larsen, Henriette N. [bjp.rcpsych.org]
Prognosis
Abstract Purpose A detailed understanding of white matter tract alterations in patients with temporal lobe epilepsy (TLE) is important as it may provide useful information for likely side of seizure onset, cognitive impairment and postoperative prognosis [mendeley.com]
[…] generalization compared to those who do not; and Apply DTI to assess the potential immediate and long-term neurotoxic effects of seizures upon brain fibres in TLE, with the ultimate aim of contributing significant improvements to the diagnosis, potential prognosis [3tcentre.com]
BALTIC MYOCLONUS Epi: Gen: Ar Loc: Purkinje cell MoA: atrophy, myoclonic seizures NON-SEIZURES TOXIC METABOLIC ENCEPHALOPATHY (1/2 HEPATIC ENCEPHALOPATHY) Triphasic waves, sharps 1-2/sec ANOXIC ENCEPHALOPATHY Normal to isoelectric Alpha coma with poor prognosis [learnneurosurgery.com]
Photosensitivity, Polypharmacy, Porencephaly, Porphyria, Positron Emission Tomography Scanning (PET), Postoperative (S), Post-Traumatic (E), Postural (S), Pregnancy ,Prevalence, Primary (Generalized Epilepsies), Primidone (PRM, MysolineÆ*), Progabide, (GabreneÆ*), Prognosis [springerpub.com]
Prognosis Variable dependent on: Rehabilitative resources. Timing of rehabilitation. Infrastructure. Associated disorders / complications Severity of lesion. [slideshare.net]
Etiology
The Etiology of Migraine The exact etiology of the various aspects of migraine is not completely understood. Migraine is certainly familial, but the exact gene or combination of genes is ... Coma : Etiology Diffuse bilateral cerebral lesion. [1pdf.net]
Prolonged febrile convulsions, perinatal trauma and hypoxia, craniocerebral trauma or meningoencephalitis can be the specific etiologic condition. [pediatrics.aappublications.org]
Temporal lobe seizures may be classified by etiology as cryptogenic, familial, or symptomatic. (From Adams et al., Principles of Neurology, 6th ed, p321). [decs.bvs.br]
Epidemiology
1999 Allowable Qualifiers English: BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
From the epidemiologic studies of Hauser and colleagues, one may extrapolate an incidence of approximately 2 million individuals in the United States who are subject to epilepsy and predict about 44 new cases per 100,000 persons each year. [accessmedicine.mhmedical.com]
Dupuytren's (Disease), Dyskinesias 7, Dysmnestic (S), Dysphasic (S), Eclampsia, EEG (Electroencephalography), Elderly, Late-Life Onset (E), Electroconvulsive Therapy, Electrodes, Subdural (Epidural), Employment, Encephalitis/Encephalitides, Encephalopathies, Epidemiology [springerpub.com]
Mack, R.N., Simberloff, D., Lonsdale, W.M., Evans, H., Clout, M. and Bazzaz, F.A. ( 2000 ) Biotic invasions: causes, epidemiology, global consequences, and control. Ecological Applications 10, 689 – 710. [cambridge.org]
Pathophysiology
Overall, these findings are interesting and add to our understanding of the pathophysiology of TLE and of epilepsy surgery failures. [journals.sagepub.com]
A detailed analysis of the white matter anatomy of the frontal lobe will be essential for future progress in understanding the pathophysiology and treatment of psychiatric diseases. [karger.com]
There are age-dependent changes in epileptic manifestations despite a seemingly identical underlying pathophysiology. [hindawi.com]
Because MTLE represents a sufficiently distinct pathophysiological entity, the International League Against Epilepsy has concluded that it does represent a specific epilepsy syndrome [ 11 ]. [mdpi.com]
Prevention
In addition to addressing specific diseases and conditions, this text emphasizes health promotion and disease prevention strategies and covers issues with implications for physical therapy management, such as injury, inflammation, and healing; the lymphatic [books.google.ro]
[…] of the variance and is somewhat more meaningful because it is expressed in the same units as the raw scores themselves. 118 ページ - ... therapeutic use of self-care, work and play activities to increase independent function, enhance development and prevent [books.google.com]
[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decs.bvs.br]
Published on behalf of the Royal College of Psychiatrists, the journal’s overriding concern is to improve the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally. [bjp.rcpsych.org]